In 2021, University Health purchased 42.5 acres in Selma for $11.6 million to be used for a new hospital that will be located at the corner of Lookout Road and Retama Parkway.

The new hospital is one of three new hospitals in the San Antonio area being developed and built by the system.

University Health officials said the goal for the system is to create a wagon wheel-type system in which University Hospital, located in the South Texas Medical Center, will be the hub while the three new hospitals will serve as “supports, or spokes,” on the outskirts of the city.

While the new Selma hospital is not expected to break ground until the end of 2023, University Health named it University Health Retama Hospital.

The hospital will feature an emergency department, operating rooms and imaging—including X-rays, CAT scans, MRIs, mammography and ultrasounds.


Laboratory services and inpatient facilities will be provided for all major hospital-related treatments for adults and children, such as labor and delivery, the neonatal intensive care unit, general medicine and surgery, orthopedics, heart care, vascular services, neurology and gastroenterology.

Marmon Mok Architecture, and ESA Mechanical and Electrical Engineering Inc. are working to design and engineer the hospital as well as a medical office that will be adjacent to the building. Layton Construction will be the construction manager for the project. The anticipated completion date for the hospital and medical office building is late 2026.

Hospital officials said the expansion is due to the increased population and patient capacity at University Hospital—which is the system’s only hospital—and the new hospital will reduce the travel time for patients near the Selma area.

The new hospitals will also help alleviate patient intake at University Hospital as it will give communities around San Antonio more local options for health care.


The Selma hospital will be one of the final pieces of development for the city as it approaches build-out over the next 10-15 years, and alongside the hospital, ancillary offices will be developed to offer additional medical services in the area.